Laparoscopic ventral mesh rectopexy and transperineal mesh repair both effectively relieve constipation symptoms due to obstructed defecation syndrome

Results

Fifty-one patients diagnosed with complex rectocele underwent laparoscopic ventral mesh rectopexy, and 80 patients diagnosed with simple rectocele underwent transperineal mesh repair. Mean age was found to be 50.35 ± 13.51 years, and mean parity 2.14 ± 1.47. Obstructed defecation symptoms significantly improved in both study groups, as measured by the Colorectal Anal Distress Inventory, Constipation Severity Instrument and Patient Assessment of Constipation-Symptoms scores. Minor postoperative complications including wound dehiscence (n = 3) and wound infection (n = 2) occurred in the transperineal mesh repair group.

Laparoscopic ventral mesh rectopexy and transperineal mesh repair are efficient and comparable techniques in terms of improvement in constipation symptoms related to obstructed defecation syndrome. A selective distribution of patients with or without multicompartmental prolapse to one of the treatment arms might be the preferred strategy.

Reference:

Balci, B., Leventoglu, S., Osmanov, I. et al. Laparoscopic ventral mesh rectopexy vs. transperineal mesh repair for obstructed defecation syndrome associated with rectocele: comparison of selectively distributed patients. BMC Surg 23, 359 (2023). https://doi.org/10.1186/s12893-023-02206-0

Keywords:

Laparoscopic, ventral, mesh, rectopexy, transperineal, mesh, repair, equally, effective, relieving, constipation, symptoms, due, obstructed, defecation, syndrome, BMC surgery, Balci, B., Leventoglu, S., Osmanov, I.